Outcomes of Primary Total Joint Arthroplasty After Lung Transplantation
| Autor: | Michael P. Bolognesi, David E. Attarian, Samuel S. Wellman, Tyler Steven Watters, Cameron K. Ledford |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Lung Diseases
Male musculoskeletal diseases medicine.medical_specialty Arthroplasty Replacement Hip medicine.medical_treatment Osteoarthritis Fractures Bone Quality of life medicine Humans Lung transplantation Orthopedics and Sports Medicine Arthroplasty Replacement Knee Aged Retrospective Studies business.industry Mortality rate Immunosuppression Perioperative Middle Aged musculoskeletal system medicine.disease Arthroplasty Surgery Treatment Outcome surgical procedures operative Harris Hip Score Anesthesia Female Joint Diseases business Immunosuppressive Agents Lung Transplantation |
| Zdroj: | The Journal of Arthroplasty. 29:11-15 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2013.03.029 |
| Popis: | Lung transplantation is increasingly common with improving survival rates. Post-transplant patients can be expected to seek total hip (THA) and knee arthroplasty (TKA) to improve their quality of life. Outcomes of 20 primary total joint arthroplasties (15 THA, 5 TKA) in 14 patients with lung transplantation were reviewed. Clinical follow-up time averaged 27.5 and 42.8 months for THA and TKA respectively. Arthroplasty indications included osteonecrosis, osteoarthritis, and fracture. All patients subjectively reported good or excellent outcomes with a final average Harris Hip Score of 88.7, Knee Society objective and functional score of 92.0. There were 4 minor and 1 major acute perioperative complications. 1 late TKA infection was successfully treated with two-stage revision. The mortality rate was 28.5% (4/14 patients) at an average 20.6 months following but unrelated to arthroplasty. Overall, total joint arthroplasty can be safely performed and provide good functional outcomes in lung transplant recipients. |
| Databáze: | OpenAIRE |
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